Facility Evaluation Report

On 06/23/2022 around 11:00am Licensing Program Analyst (LPA) Jose Calderon initiated an unannounced Case Management visit - Other to provide Technical Assistance to the above said facility. Today’s visit was conducted face to face with administrator Ardrena Boykins.

LPA Calderon tour consisted of a single-story home, all common areas which included but were not limited to; building entrances, reception areas, office, hallways, restrooms, dining room, kitchen, pantry, medication storage and patio area. LPA Calderon also reviewed the facility's entry procedures, body temperature monitoring practices, social distancing practices, protective facial covering practices and disinfection/sanitation practices with Administrator Ardrena Boykins.

The LPA Calderon also requested copies of the facility's records which includes but are not limited to Pre-Placement Appraisal’s, Information's, Reappraisals, Individual Needs and Services Plans, IPP assessments, Behavior assessments, Physicians Reports, Incident Reports, Progress Notes for resident 1. On 06/23/2022 LPA Calderon interviewed Administrator Ardrena Boykins who states that she was advised of the allegation of assault on 05/26/2022 by staff to resident. Administrator states she was advised by S2 that no assault happened.

A telephonic exit interview was conducted with administrator Ardrena Boykins and a hard copy was provided via email for signature.